| NPI | 1508581679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 86211365) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AR 2641) |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2024-09-18 |